Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808371
Report Date: 07/25/2017
Date Signed 07/25/2017 04:39:44 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:LEARNING TREE, THEFACILITY NUMBER:
103808371
ADMINISTRATOR:GOMEZ, CYNDIFACILITY TYPE:
830
ADDRESS:364 E BARSTOWTELEPHONE:
(559) 439-8143
CITY:FRESNOSTATE: CAZIP CODE:
93710
CAPACITY:12CENSUS: 12DATE:
07/25/2017
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Cyndi GomezTIME COMPLETED:
04:00 PM
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An unannounced 3 year visit inspection is made today by Licensing Program Analyst (LPA) Rusty Wilson. Met with Director Cynthia Gomez. A tour of the facility, inside and outside, as shown on the facility sketch is provided. Staff and Children were spoken to during visit. There are no pets observed today. Licensee is aware that constant visual supervision is required when children have access to pets. There are no "bodies of water" or firearms. Poisons, cleaning compound are inaccessible to children. There is a working fire extinguisher, a smoke detector and carbon monoxide. There is adequate heating and ventilation for safety and comfort. Safe toys and play equipment are observed. There is a working telephone. Adequate supervision is being provided during this visit. Children are visually supervised at all times. Capacity as specified on the license is being maintained. Licensee has necessary information to contact parents in an emergency. All adults who work in the facility have a criminal record clearance or exemption. There are no excluded individuals present at this home. Pediatric CPR/First Aid cards are current at the time of visit. Licensee is providing incidental medical services at this time. Licensee has submitted required (IMS) plan. Notice of site visit was posted in the presence of Licensing Program Analyst Rusty Wilson.

Infant Teachers files show they have all the necessary infant units.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations no deficiencies cited at this visit.
SUPERVISOR'S NAME: Valarie ReedTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Rusty WilsonTELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2017
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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